Specialized care for people who identify as a sexual or gender minority (2SLGBTQIA+) List of services provided by Horizon and Vitalité Health Networks and our health partners Horizon Health Network’s team members work with patients, clients, families and each other to create a safe and welcoming environment for everyone, no matter their sexual orientation or gender identity. The acronym 2SLGBTQIA+ stands for two-spirit, lesbian, gay, bisexual, transgender, queer, intersex and asexual. This section of our website provides safe and easy navigation through the sometimes confusing path in the health system to being your authentic self – a hub for 2SLGBTQIA+ individuals and their families to find information, resources, and community connections in New Brunswick. Horizon understands how difficult the path to becoming your true self is, and how different the path is for each person. Our goal is to provide the information needed to make this journey a bit easier. We welcome your feedback. If you have concerns or compliments about your care, please contact our Patient Representative Services. Gender affirming hormones What is gender dysphoria? Gender dysphoria is what you experience when your biological sex does not match your gender identity. What are gender affirming hormones? Gender affirming hormones are used in hormone therapy (often called hormone replacement therapy or HRT) to produce secondary sex characteristics such as hair growth or breast development. Information on hormone therapy: Masculinizing/Affirming Hormones Copyright ©2016 Rainbow Health Ontario and Kelly Speck Feminizing/Affirming Hormones Copyright ©2016 Rainbow Health Ontario and Kelly Speck How do I access hormones through my primary care provider, family doctor (GP) or nurse practitioner (NP)? The first steps for accessing hormones is to have a discussion with your primary care provider. If your family doctor or nurse practitioner feels you are a candidate for HRT, they can initiate hormone therapy or refer you to an endocrinologist which is a specialist in hormonal conditions. The wait time to see an endocrinologist in New Brunswick is about a year. Most physicians (including endocrinologists) and NPs require a “readiness letter” from a mental health care provider with training in World Professional Association for Transgender Health (WPATH) standards before proceeding with hormone therapy. How do I access HRT through a mental health specialist? If you do not currently have a family doctor or nurse practitioner, or do not feel comfortable discussing HRT with them, there is another option. You can obtain the “readiness letter,” as mentioned above, then contact your local Sexual Health clinic. The clinic’s nurse practitioner should be able to refer to an endocrinologist, or initiate treatment themselves. A list of community mental health resources can be found here: Community Mental Health Resources in New Brunswick (gnb.ca) Available Services – Specialized care for people who identify as a sexual or gender minority (LGBTQ2S+) The following are a list of services provided by Horizon and Vitalité Health Networks and our health partners in the communities we serve. General Services and Programs Integrated Service Delivery (ISD) Child and Youth Teams /Addiction and Mental Health Services These services are found in each region and the vast majority of areas have clinicians who are trained to work with 2SLGBTQIA+ clients to provide counselling support. These providers may also be able to write letters for gender affirming surgery for adults and hormone therapy for both adults and youth. Virtual consultations outside of the region may be available. Fredericton Area: 506-453-2132 Miramichi Area: 506-778-6111 Moncton Area: 506-856-2271 South East: 506-856-2444 Rexton: 506-876-3570 Saint John Area: 506-658-3737 Charlotte County: 506-466-7380 Sussex: 506-432-2217 Upper River Valley Area Perth-Andover: 506-273-4701 Woodstock: 506-325-4419 Specialists for Transgender Patient Care Fredericton Area Counsellors and Social Workers Endocrinologists – Adult Gynecologists Pediatricians Primary Care Providers Psychologists Psychiatrists Urologists Jocelyn Anderson (she/they), MSW RSW Mailing Address: Family Enrichment and Counselling Services, 356 Queen St., Fredericton, N.B. E3B 1B2 Telephone: 506-458-8211 Ext. 223 Fax: 506-451-9437 Email: jocelyn@familyenrichment.ca Shane Clark (they/them) MSW RSW Region: Fredericton and New Brunswick Address: Rebel Heart Counselling 181 Westmorland St., #104, Fredericton, N.B. E3B 3L6 office@rebelheartcounselling.com www.rebelheartcounselling.com Lynsey Wilson Norrad, MSW, RSW Bridge to Wellness Counselling and Consulting Mailing Address: 461 King St., Fredericton, N.B. E3B 1E5 Telephone: 506-450-5125 Email: Wilson.norrad@gmail.com Marilia Paulon (she/they) Mailing Address: Family Enrichment and Counselling Services, 356 Queen St., Fredericton, N.B. E3B 1B2 Telephone: 506-458-8211 Fax: 506-451-9437 Email: mpaulon@familyenrichment.ca Stel Raven (they/them), MSW, RSW Telephone: 506-259-5522 info@stelraven.com Services provided to adults. Nathan Thompson, MEd LCT-C CCC Mailing Address: Block House Counselling Services, 74 Shore St., Fredericton, N.B. E3B 1R2 Telephone: 506-459-0225 Email: nathan@blockhousecounselling.ca Services provided to LGBTQ2S+ populations, mostly youth and young adults (16-40 year olds). Dr. Christa Bowes Mailing Address: 1015 Regent St. Suite 206, Fredericton, N.B. E3B 6H5 Telephone: 506-447-4418 As per New Brunswick Medicare, the following surgeries are covered for patients 18 years of age and older: hysterectomy and bilateral salpingo-oophorectomy. To attain coverage the Gender Confirming Surgery Prior Approval Request form must be completed by a mental health professional and accompanied by two referral letters from mental health professionals. Capital OBGYN Dr. Erica Frecker, Dr. Christa Mullaly, Dr. Kimberly Butler, Dr. Jessica Bossé, Dr. Stephanie Coady, Dr. Shannon Laity Mailing Address: 201-1015 Regent St., Fredericton, N.B. E3B 3Y9 Telephone: 506-457-2113 Pediatricians accept new physician referrals for children and adolescents and typically require a letter of hormone readiness from a qualified mental health professional before prescribing hormone therapy. If there are any complicating factors (medical or psychiatric) the patient may be referred on to a subspecialist which could involve an additional wait time. Dr. Rachel Ouellette Mailing Address: 403-1015 Regent St., Fredericton, N.B, E3B 3Y9 Telephone: 506-206-5999 Accepts patients under 18 but would likely not be able to triage and see a 17y 11mo before their 18th birthday. Dr. Em Lane Fredericton Downtown Community Health Centre Mailing Address: 339 King St., Fredericton, N.B. E3B 1E4 Telephone: 506-452-5900 Fax: 506-452-5793 Dr. Lane will be accepting referrals from health care providers in New Brunswick for the services listed below, but not for general primary care. Patients without a primary care provider are encouraged to register with Patient Connect NB online or by calling 811. Please fax referrals along with any relevant information and investigations to the above fax number for the following services: – Transgender and gender diverse care – Contraception care (including Nexplanon and IUD insertion) – Medical abortion care – Small procedures (i.e., lumps and bumps, skin biopsies, etc.) Dr. Francis Alborg Region: Woodstock Mailing Address: 311 Connell St., Woodstock, N.B. E7M 5E1 Telephone: 506-328-3154 Email: doctoralborg@gmail.com Will accept referrals. Able to see clients out of service area by Zoom. Keltie Keir, MN NP Telephone: 506-474-4500 Keltie Keir can also be accessed through evisitNB.ca/lgbtq Dr. Kirsti Ziola Transcare BC Dr. Kathleen Taylor, MD CCFP Fax: 506-455-4600 (to refer adult patients) Dr. Sandra Byers Mailing Address: 445 George St., Fredericton N.B. E3B 1J8 Telephone: 506-454-6417 Dr. Byers is a Canadian expert in gender and sexuality. Services provided to the adult population. Amy Otteson, L.Psych. Mailing Address: 77 Westmorland St. Suite 140, Fredericton, N.B. E3B 6Z3 Telephone: 506-471-3621 Services provided to children, adolescents, and adult populations. Virtual consultations are offered. Dr. Margaret Relja Address: 65 Brunswick St., Fredericton, N.B. E3B 2L5 Phone: 506-453-2132 Fax: 506-444-3271 Dr. Relja will accept referrals for youth under age 19. Dr. Jill Hudson Mailing Address: Dr. Everett Chalmers Regional Hospital, 700 Priestman St., Fredericton, N.B. E3B 5N5 Telephone: 506-459-6601 Services provided include urinary tract function and orchiectomy in the transgender population. *Orchiectomy is covered by the New Brunswick Medicare program for patients 18 years of age and older. To attain coverage, the Gender Confirming Surgery Prior Approval Request form must be completed by a mental health professional and accompanied by two referral letters. Moncton Area Counsellors and Social Workers Endocrinologists – Adult Gynecologists Pediatricians Plastic Surgeons Primary Care Providers Psychologists Psychiatrists Speech Language Pathologists (SLP) Zivi Richard (they/them), MSW, RSW Clinical Social Worker www.ZiviRichard.com Telephone: 506-855-8088 Marie-Hélène Landry MTS, TSI \ MSW RSW Child & Youth team Telephone: 506-856-2271 or 506-856-2530 Fax: 506-856-2320 Stel Raven (they/them), MSW, RSW Telephone: 506-259-5522 info@stelraven.com Services provided to adults. Dr. Tania Gallant (Adult only 16+) Mailing Address: 100 Arden St. Suite #222, Moncton, N.B. E1C 4B7 Telephone: 506-857-5758 Fax: 506-857-5086 Dr. Heather Mackenzie Mailing Address: 681 Mountain Rd., Moncton, N.B. E1C 2P4 Telephone: 506-860-2300 As per New Brunswick Medicare, the following surgeries are covered for patients 18 years of age and older: hysterectomy and bilateral salpingo-oophorectomy. To attain coverage the Gender Confirming Surgery Prior Approval Request form must be completed by a mental health professional and accompanied by two referral letters from mental health professionals. Dr. Jeanne Bernardin (Currently on leave) Mailing Address: 100 Arden St. Suite 123, Moncton, N.B. E1C 4B7 Telephone: 506-855-0062 Fax: 506-855-0064 Dr. Stéphane Foulem Mailing Address: 100 Arden St. Suite 427, Moncton, N.B. E1C 4B7 Telephone: 506-855-6700 Fax: 506-389-2141 Dr. Erin Hemsworth Mailing Address: 100 Arden St. Suite 223, Moncton, N.B. E1C 4B7 Telephone: 506-382-2163 Fax: 506-854-9738 Dr. Carole LeBlanc Mailing Address: 100 Arden St. Suite 516, Moncton. N.B. E1C 4B7 Telephone: 506-857-4242 Fax: 506-854-2556 Dr. LeBlanc has experience following transwomen after they have received genital surgery (penectomy, vaginoplasty, clitoroplasty, vulvoplasty). Patients can be seen 2-3 months post-op or sooner if concerns (the 6-week follow-up is usually done via a teleconference with the patient’s surgeon). Pediatricians accept new physician referrals for children and adolescents and typically require a letter of hormone readiness from a qualified mental health professional before prescribing hormone therapy. If there are any complicating factors (medical or psychiatric) the patient may be referred on to a subspecialist which could involve an additional wait time. As per New Brunswick Medicare, Mastectomy with chest masculinization is covered for patients 18 years of age and older. To attain coverage the Gender Confirming Surgery Prior Approval Request form must include one referral letter and be completed by a mental health professional. This form is then sent to the surgeon who will complete and submit the form to Medicare for approval. Available surgeries that are not covered by Medicare include: Chest contouring, liposuction, pectoral implants, and breast augmentation. Dr. Jayson Dool Mailing Address: Dool Plastic Surgery, 860 Main St., Suite 600 A, Moncton, N.B. E1C 1G2 Telephone: 506-382-3665 Fax: 506-382-5887 www.doolplasticsurgery.ca Dr. Brent Howley Mailing Address: 585 Mapleton Rd. Moncton, N.B. E1G 2K5 Telephone: 506-853-5164 Fax: 506-853-4104 www.drhowley.com Dr. Sara Thomas clinic@mta.ca Fax: 506-364-2172 Dr. Kirsti Ziola Transcare BC Dr. Joanne Brideau-Hachey Telephone: 506-857-0354 Email: dr.joanne.brideauhachey@gmail.com Services provided to adults. Bilingual services are available. Dr. Charles Emmrys Region: Riverview Mailing Address: 213 Pine Glen Rd Unit A, Riverview, N.B. E1B 4V1 Telephone: 506-878-3331 Fax: 506-878-7520 Services provided to children, adolescents, and adults for the purpose of diagnosing gender dysphoria. Felipe Ramirez Hinrichsen Mailing Address: Botsford St. Moncton, N.B. E1C 4X4 Telephone: 506-700-2522 Email: felipe@psycheservices.ca Services are provided to children and youth. Bilingual services are available. Sophie LeBlanc Roy, L.Psych. Mailing Address: Université de Moncton, Campus of Moncton Pavillon, Leopold-Taillon 18 Antonine-Maillet Av., Moncton, N.B. E1A 3E9 Telephone: 506-858-4007 Email: sophie.leblanc.roy@umoncton.ca Services provided to full-time students. Sophie LeBlanc Roy, L.Psych. also has a private practice: Region: Dieppe/Moncton Telephone: 506-874-8940 Email: sleblancroy@gmail.com Services provided to adolescents and young adults. Letters of referral may be provided to clients. Bilingual services are available. Tatiana Villalon Mailing Address: 187 Botsford St., Moncton, N.B. E1C 4X4 Telephone: 506-871-6670 Services provided to children, youth and adults. French service is available. Dr. Jerome Doucet Mailing Address: 1685 Main St. Unit B, Moncton, N.B. E1E 1G8 Telephone: 506-854-2663 Fax: 506-854-8731 Dr. Doucet will accept referrals for diagnostic clarification of gender dysphoria in patients 16 years of age and older; see patients with psychiatric co-morbidities; and assess patients in order to draft a letter of support for medical or surgical management. Michele Theriault Mailing Address: Dr. Georges-L.-Dumont University Hospital Centre, Speech-Language Pathology Department, 330 University Ave, Moncton, N.B. E1C 2Z3 Telephone: 506-862-4170 Fax: 506-869-2162 Bilingual services are available to the transgender population. You can either self-refer by calling the phone number listed or be referred by a physician. Allyson Trainor Mailing Address: Mountain Road, Suite 201, Moncton, N.B. E1G 1A6 Phone: 506-855-2014 Email: allyson@metrohsc.com Private practice Speech-Language Pathologist offering voice and communication services for people along the gender spectrum. Linda Walsh MHSc, SLP(C) Mailing Address: Moncton, N.B. Private Practice Telephone: 506-384-7156 Email: lindawalsh.slp@gmail.com Saint John Area Counsellors and Social Workers Endocrinologists – Adult Gynecologists Pediatricians Plastic Surgeons Primary Care Providers Psychologists Stel Raven (they/them), MSW, RSW Telephone: 506-259-5522 info@stelraven.com Services provided to adults. Steven Butler – Licensed Counselling Therapist-Candidate (LCT-C) Mailing Address: 117 Carleton St., Saint John, N.B. Telephone: 506-497-6090 Email: stevenbutler@thebft.ca Private practice clinician, WPATH trained, CPATH member, can provide letters of support for gender-affirming care along with other mental health support. Can support folks 15 years and older. Sara Hayward, CCC LCT Mailing Address: Family Plus Life Solutions Inc., 199 Chesley Dr., Saint John, N.B. E2K 1P6 Telephone: 506-634-8295 Email: saraccc@rogers.com Sara Hayward, CCC LCT also works for the Child and Youth Team Telephone: 506-650-3802 Email: sara.hayward@gnb.ca Angela Keetch currently on leave Region: St. George Child and Youth Team Telephone: Main Line 506-755-4044 Email: angela.keetch@gnb.ca Services provided to the child and adolescent populations. Jaclyn Trecartin McAdam Mailing Address: 89 Canterbury St., Suite 200; Saint John, N.B. E2L 2C7 Telephone: 506-647-3772 Email: jaclyn@trecartintherapy.com Services provided to children, teens, adults and families. Dr. John Dornan Mailing Address: Saint John Regional Hospital, PO Box 2100, Saint John, New Brunswick, E2L 4L2 Telephone: 506-648-7304 Fax: 506-648-7305 Dr. Michael Pelkey Referrals must be accompanied by a letter from a qualified mental health professional stating that the patient meets the criteria for gender dysphoria and is ready to proceed with hormone therapy. As per New Brunswick Medicare, the following surgeries are covered for patients 18 years of age and older: hysterectomy and bilateral salpingo-oophorectomy. To attain coverage the Gender Confirming Surgery Prior Approval Request form must be completed by a mental health professional and accompanied by two referral letters from mental health professionals. Dr. Suma Satya Mailing Address: 122-555 Somerset St, Saint John, N.B. E2K 4X2 Telephone: 506-214-6581 Pediatricians accept new physician referrals for children and adolescents and typically require a letter of hormone readiness from a qualified mental health professional before prescribing hormone therapy. If there are any complicating factors (medical or psychiatric) the patient may be referred on to a subspecialist which could involve an additional wait time. Dr. Marc Nicholson Mailing Address: 600 Main St., Suite 160, Saint John, N.B. E3K 1J5 Telephone: 506-648-7579 As per New Brunswick Medicare, Mastectomy with chest masculinization is covered for patients 18 years of age and older. To attain coverage the Gender Confirming Surgery Prior Approval Request form must include one referral letter and be completed by a mental health professional. This form is then sent to the surgeon who will complete and submit the form to Medicare for approval. Available surgeries that are not covered by Medicare include: Chest contouring, liposuction, pectoral implants, and breast augmentation. Dr. Ian Maxwell Mailing Address: Saint John Regional Hospital PO Box 2100 Saint John, N.B. E2L 4L2 Telephone: 506-653-2937 Fax: 506-653-2934 Dr. Monica Graves Mailing Address: Saint John Regional Hospital, PO Box 2100, Saint John, N.B. E2L 4L2 Telephone: 506-849-2504 Will accept referrals from other providers. Dr. Kirsti Ziola Transcare BC Dr. Janet Krantz Mailing Address: Krantz Psychological Services, 199 Chesley Drive, Suite 207, Saint John, N.B. E2K 4S9 Telephone: 506-609-2352 Miramichi Area Counsellors and Social Workers Psychologists Primary Care Providers Stel Raven (they/them), MSW, RSW Telephone: 506-259-5522 info@stelraven.com Services provided to adults. Eve Arseneau, M.A.Ps., LPsych. Region: Bathurst Mailing Address: Mind at Peace Centre, 470 Murray Av., Bathurst, N.B. E2A 1T5 Telephone: 506-252-2976 Fax: 506-546-8594 Email: mpclme@gmail.com Eve is a specialist in trans health. She is the co-founder of the Trans-Action support group which is a support group for families with a transgender child. Services are provided to children, adolescents, and adults. Bilingual services are available. Natalie Arseneault, L.Psych. Region: Campbellton Mailing Address: Community Mental Health, 6 Arran St., Campbellton, N.B. E3N 1K4 Telephone: 506-789-2440 Email: natalie.arseneault@gnb.ca Services provided to the adult population. Natalie Mallet Boudreau, M.A.Ps., LPsych Region: Bathurst Mailing Address: Mind at Peace Centre, 470 Murray Av., Bathurst, N.B. E2A 1T5 Telephone: 506-252-2976 Fax: 506-546-8594 Email: mpclme@gmail.com Lucie Sonier Region: Tracadie-Sheila Community Mental Health 3520 Rue Principale, Tracadie-Sheila, N.B., E1X 1C9 Telephone: 506-394-3764 Switchboard: 506-394-3760 Fax: 506-394-3770 Email: lucie.sonier@gnb.ca Services are provided to child, adolescent and transgender adult populations. Bilingual services are available. Dr. Kirsti Ziola Transcare BC Upper River Valley Area Counsellors and Social Workers Psychologists Primary Care Providers Stel Raven (they/them), MSW, RSW Telephone: 506-259-5522 info@stelraven.com Services provided to adults. Claude Beaulieu, L.Psych. Region: Edmundston Mailing Address: Imagigo Wellness Centre, 45 Rue de l’Église Edmundston, N.B. E3V 1J4 Telephone: 506-223-0900 Email: info@imagigo.ca Dr. Kirsti Ziola Transcare BC